scholarly journals Urgent Stenting for Patients With Acute Stroke Due to Atherosclerotic Occlusive Lesions of the Cervical Internal Carotid Artery

2008 ◽  
Vol 48 (2) ◽  
pp. 49-56 ◽  
Author(s):  
Naoko MIYAMOTO ◽  
Isao NAITO ◽  
Shin TAKATAMA ◽  
Tatsuya SHIMIZU ◽  
Tomoyuki IWAI ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Acute Stroke ◽  
Internal Carotid ◽  
Cervical Internal Carotid Artery

Emergent Endovascular Recanalization for Cervical Internal Carotid Artery Occlusion in Patients Presenting With Acute Stroke

Neurosurgery ◽  
2011 ◽  
Vol 69 (4) ◽  
pp. 899-907 ◽  
Author(s):  
Erik F Hauck ◽  
Sabareesh K Natarajan ◽  
Hajime Ohta ◽  
Christopher S Ogilvy ◽  
L Nelson Hopkins ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Acute Stroke ◽  
Internal Carotid ◽  
Clinical Results ◽  
Artery Occlusion ◽  
Nihss Score ◽  
Good Outcome ◽  
Timi Grade ◽  
Cervical Internal Carotid Artery

Abstract BACKGROUND: Acute proximal (cervical) internal carotid artery (ICA) occlusion may cause ischemia of an entire hemisphere or no ischemia at all, depending on the presence of intracranial collaterals. OBJECTIVE: To retrospectively analyze the clinical results for emergent endovascular carotid recanalization in patients with acute proximal (cervical) ICA occlusion and to assess predictors of recanalization and clinical, neurological, and functional outcome. METHODS: Emergent endovascular revascularization was attempted in 22 patients presenting with acute stroke secondary to complete cervical ICA occlusion. Patients with pseudo-occlusion were excluded. Recanalization was assessed with the Thrombolysis in Myocardial Ischemia (TIMI) system: grade 0 (no flow) to grade 3 (normal flow). RESULTS: The median age of the patients was 65 years; mean admission National Institutes of Health Stroke Scale (NIHSS) score was 14. Recanalization (TIMI grade 2/3) occurred in 17 patients (77.3%). Ten patients (45.5%) demonstrated significant clinical improvement during hospitalization (NIHSS improved ≥4 points). Fifty percent of patients had good outcomes (modified Rankin Scale ≤2) after a median follow-up of 3 months. Patient age <70 years and successful recanalization (TIMI grade 2/3) predicted a good outcome (P ≤ .01). Presence of atrial fibrillation, admission NIHSS score ≥20, and complete ICA occlusion at all levels (cervical, petrocavernous, and intracranial) were associated with poor outcomes (P ≤ .05). Patients with complete cervical ICA occlusion but partial distal preservation of the vessel were most likely to benefit from the intervention (recanalization in 88.2%; good outcome in 64.7%). CONCLUSION: Attempts at emergent endovascular carotid recanalization for acute stroke are encouraged, particularly in younger patients with partial distal preservation of the ICA.

scholarly journals Emergency Cervical Internal Carotid Artery Stenting in Combination with Intracranial Thrombectomy in Acute Stroke

2013 ◽  
Vol 35 (4) ◽  
pp. 741-746 ◽  
Author(s):  
S. Stampfl ◽  
P. A. Ringleb ◽  
M. Mohlenbruch ◽  
C. Hametner ◽  
C. Herweh ◽  
...  
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Acute Stroke ◽  
Carotid Artery Stenting ◽  
Internal Carotid ◽  
Cervical Internal Carotid Artery

Progressive Hydrocephalus as a Complication of Cervical Internal Carotid Artery Occlusion in a 4-Year-Old Child

Neurosurgery ◽  
1981 ◽  
Vol 8 (4) ◽  
pp. 466-468
Author(s):  
Richard J. Lister ◽  
John K. Vries
Keyword(s):  
Carotid Artery ◽  
Internal Carotid Artery ◽  
Internal Carotid ◽  
Artery Occlusion ◽  
Carotid Artery Occlusion ◽  
Internal Carotid Artery Occlusion ◽  
Diagnosis And Management ◽  
Computed Tomographic ◽  
Cervical Internal Carotid Artery

Abstract A case of progressive hydrocephalus as a complication of spontaneous cervical internal carotid artery occlusion in a child is presented. This problem has not been reported previously. The diagnosis and management of this condition are greatly facilitated by computed tomographic scanning.

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